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NHS managers are blocking hospital appointments for patients to save cash, a survey of family doctors has revealed, and at least one health trust proposes to stop sending obese people and smokers for routine hip and knee surgery because their unhealthy lifestyles lower the chance of the operations’ “success”.

With the health service asked to find an unprecedented £20bn efficiency savings over the next few years, many are resorting to moving procedures out of the NHS. In Kent hospital managers say abortions will now be provided by the charity Marie Stopes with hospitals only dealing with complicated cases. Last winter local GPs were asked to “stop referrals” for many procedures.

[…]

Health trusts are having to pare back costs in new ways. NHS North Yorkshire and York, the area’s primary care trust, is planning to stop patients who smoke, and those with a body mass index of more than 35, from having routine hip and knee operations.

The rules of economics apply to the English as well as to Americans. When the government needs to rein in costs in a regulated healthcare market, the inevitable result is rationing. Plain and simple.

The head of one of the US’s biggest industrial groups has launched a scathing attack on Barack Obama’s attempts to repair relations with companies, dubbing him “anti-business”.

Manufacturers could shift production out of the US to Canada or Mexico as a result, warned George Buckley, chief executive and chairman of 3M.

“I judge people by their feet, not their mouth,” he told the Financial Times. “We know what his instincts are – they are Robin Hood-esque. He is anti-business.” […]

There is a sense among companies that this is a difficult place to do business. It is about regulation, taxation, seemingly anti-business policies in Washington, attitudes towards science.”

He added: “Politicians forget that business has choice. We’re not indentured servants and we will do business where it’s good and friendly. If it’s hostile, incrementally, things will slip away. We’ve got a real choice between manufacturing in Canada and Mexico – which tend to be pro-business – or America.”

The problem with Mr. Buckley and other businesses like 3M, is that they will never have the President’s ear when it comes to job creation. That is reserved for those who contribute the most to the DNC’s political pot.

In the meantime, Americans will have to make do with companies sending jobs overseas, something Candidate Obama said he would put an end to, and finding less onerous and stifling markets from which to operate. All of this as the Federal government continues to grow in size and scope, sucking up all of the oxygen in the room.

It enables unions rather than citizens to set the price of government. It is, thus, a direct assault on republican democracy, and it needs to be destroyed. Unlovely as they are, the Greek rioters and the snarling thugs of Madison are the logical end point of the advanced social democratic state: not an oppressed underclass, but a spoiled overclass, rioting in defense of its privileges and insisting on more subsidy, more benefits, more featherbedding, more government.

Big Unions fund Big Government. The union slices off two per cent of the workers’ pay and sluices it to the Democratic Party, which uses it to grow government, which also grows unions, which thereby grows the number of two-per-cent contributions, which thereby grows the Democratic Party, which thereby grows government… Repeat until bankruptcy. Or bailout.

The recently resigned Libyan representative to the Arab League, Abd Al-Mun’im al-Huni, said Saturday that “the regime in Libya is in its final hours”. Muammar Gaddafi no longer controls large parts of Tripoli, he added. […]

In an interview published Saturday by London based Al-Sharq Al-Awsat daily, al-Huni said Gaddafi is in dire straits and that he had sent calls of assistance to his tribesmen in the coastal city of Sirte. […]

The Libyan diplomat said protesters were willing to sacrifice their lives in order to get rid of the leader. “It’s only a matter of time,” he said. “Gaddafi has just hours left.”

While U.S. citizens are finally getting out of Libya, many have rounded on the Obama administration for delays in the evacuation.

Speaking about the three day delay in the Dolores leaving Tripoli, Tony Munoz, Editor of shipping magazine The Maritime Executive, said: ‘I don’t understand why this vessel didn’t leave earlier – The Maria Dolores is a new vessel built for Mediterranean seas.

‘I can only imagine the captain was refusing to sail because he felt the vessel was not capable enough of taking the sea on.

Speaking to MailOnline, Mr Munoz said that there was no comparison between the 68 metre Dolores and the 204 metre Hellenic Spirit, used by the Greek government to evacuate its citizens from Benghazi.

‘The U.S. needed to charter a bigger boat like the Greeks’ he said.

‘The fully hulled Spirit will be more durable outside a port, this much bigger vessel could take the rough seas on.

‘There is no question about it, they [U.S.] should have been out of there long ago – why haven’t they chartered a bigger boat like the Greeks or Turkish.

‘At the very least, the government should have had a larger back up vessel on the way.’

Maybe the Smart Power team was trying to “grapple” with the idea of sending a larger vessel. Regardless, this is amazing in its incompetence.

The Wisconsin State Assembly voted on and passed Governor Walker’s budget bill early this morning. This is what happened after the vote was tallied:

Democrats erupted after the vote, throwing papers and what appeared to be a drink in the air. They denounced the move to cut off debate, questioning for the second time in the night whether the proper procedure had been followed.

“Shame! Shame! Shame!” Democrats shouted in the faces of Republicans as the GOP lawmakers quietly filed off the floor and a police officer stood between opposing lawmakers.

This is how the Democrats and their union overlords roll–intimidation, heated rhetoric, etc. We’ve seen it play out all week long. And they’ve taken it to the statehouse.

To the extent that the left now considers the Koch brothers the face of their opposition, they should be wary as the Kochs won’t be intimidated by the amateurish actions of the unions and their protesters. No, the Kochs aren’t backing down:

“With the Left trying to intimidate the Koch brothers to back off of their support for freedom and signaling to others that this is what happens if you oppose the administration and its allies, we have no choice but to continue to fight,” says Richard Fink, the executive vice president of Koch Industries. “We will not step back at all. We firmly believe that economic freedom has benefited the overwhelming majority of society, including workers, who earn higher wages when you have open and free markets. […]

“This is part of an orchestrated campaign that has been going on for many months. It involves the Obama administration, the Center for American Progress, aligned left-wing groups, and their friends in the media.

Here’s the deal. The union bosses are thugs, plain and simple. But they can be simple-minded. They’re used to getting their way and will throw a tantrum when they feel opposition.

Here in New Jersey, for example, the NJEA have had their way with Trenton for years until Governor Christie was elected. They were used to demanding previous governors to jump and the governor would happily oblige. When Governor Christie pushed back–and hard–the unions immediately started with the demonstrations, the in-your-face tactics, etc.–the typical nonsense. They’re used to getting their way. They’re spoiled.

So far Governor Walker is standing his ground and I would like to think that once the State Senate takes up the legislation, that Wisconsin’s Republicans stand firm. It’s the only way to reverse the unions’ ruinous cycle of fiscal destruction.

Clashes have continued on the outskirts of Tripoli for a third consecutive day as Muammar Gaddafi’s loyalists attempt to shore up the capital from a rampant anti-government revolution.

Demonstrators at a large opposition rally in Libya’s second city, Benghazi, today received numerous phone calls from frantic relatives in Tripoli who relayed details of ongoing battles nearing the centre of the city.

There were unconfirmed reports today of a major airbase in Tripoli having fallen into opposition hands. If true, it would be a serious blow to the Libyan leader’s attempts to cling to power in the capital. In much of the rest of the country, the battle already appears lost.

Opposition activists have been striving to get their hands on military bases and ammunition, seeking to further weaken the regime of the veteran dictator […]

In the party of Italian journalists invited to Libya by the authorities is a correspondent of the news agency Ansa. A short while ago he reported that an “imposing” pro-Gaddafi demonstration was under way:

“7-8,000 people have gathered in Green Square with photos of the Libyan leader and the green flags of the Jamahiriya. Ansa was able to verify this on the spot. The square is being watched over by a small number of police.”

Ominously, just a few minutes earlier, the agency filed a dispatch from Rome quoting an eyewitness in Tripoli as saying that Green Square was also the destination of an anti-Gaddafi protest.

With reports of the main airbase in Tripoli being overrun by anti-government protesters, at this point it appears to be a matter of not if but when the regime will fall.